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首页> 外文期刊>Journal of health care for the poor and underserved >Diabetes disease management results in Hispanic Medicaid patients.
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Diabetes disease management results in Hispanic Medicaid patients.

机译：糖尿病疾病管理导致西班牙裔医疗补助患者。

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OBJECTIVES: To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN: A 12-month, matched-cohort study. STUDY POPULATION: Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION: Disease management diabetes program. For those in the intervention group, the disease management program customized a self-management intervention plan. MAIN OUTCOME MEASURES: Medical service utilization, including hospitalizations, emergency department visits, physician evaluation and management visits, selected clinical indicators, and financial impact. RESULTS: The intervention group showed significant effects compared with the control group, including a 48% reduction in inpatient bed days, and a 23% increase in ACE inhibitor use, resulting in a return on investment estimate of 3.8:1. CONCLUSIONS: The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.
机译：目的：调查居住在波多黎各的医疗补助糖尿病患者的电话护理疾病管理计划的结果。研究设计：为期12个月的队列研究。研究人群：490名干预组成员与490名对照组匹配。干预：疾病管理糖尿病计划。对于干预组的人员，疾病管理计划制定了自我管理干预计划。主要观察指标：医疗服务利用，包括住院，急诊就诊，医师评估和管理就诊，选定的临床指标以及财务影响。结果：与对照组相比，干预组显示出显着效果，包括住院天数减少了48％，ACEI使用量增加了23％，因此投资回报率为3.8：1。结论：该研究表明，针对糖尿病的护理疾病管理计划可以显着改善西班牙裔医疗补助人群的住院率，药物依从性和疫苗接种情况。

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